BREAST RECONSTRUCTION

Myocutaneous flaps.

This technique involves using a flap of skin and muscle to recreate the breast mound. This approach is useful in women with large breasts, or in whom a large amount of tissue was removed, or in cases where the skin is unlikely to accommodate an implant (e.g. after radiotherapy). The two most common reconstructions involve the rectus abdominis (transverse rectus abdominis myocutaneous - TRAM - flap) or latissimus dorsi muscles.

Above: Schematic diagram TRAM flap   Right: Schematic diagram LD flap

If desired, the nipple can be reconstructed surgically to give a reasonable cosmetic appearance. Tissue can be taken from the other nipple or, if necessary, from the thigh or labia. This operation should be performed several months after mastectomy to allow the reconstructed breast to attain its final shape so that the heights of the nipple can be matched.

TRAM flap reconstruction with neo-nippleareolar complex	LD flap reconstruction

Mini LD flap used for volume replacement

If you require further advice or information please contact the
Macmillan Breast Care Nurses, Hazel Ricard and Hilary Rickwood on 020 8565 5885